Title: Nurse Appeals – Litigation & Legal Support Job Responsibilities: The Nurse Appeals – Litigation & Legal Support plays a crucial role in handling medical necessity appeals requests from members and providers. The responsibilities include: - Supporting legal, management, and executive leadership by...
Title: Legal Counsel, **Members Only** Contracting Job Responsibilities: The Legal Counsel is tasked with providing expert legal advice and recommendations for initiatives and projects that align with the overall objectives and needs of clients. The focus is predominantly on large-scale and/or high financial...
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
President, State Affairs The candidate will develop and lead the implementation of strategy, relationship development, public policy engagement and overall business advancement initiatives with key state and local policy makers. Will be the primary liaison with state and local leaders including the governor and administration, legislators and committee staff, as well as agency officials and will work on behalf of and in coordination with state market leaders. Facilitat... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
/ Compliance Specialist The candidate will coordinate with various internal departments and committees to develop processes and document, manage, and monitor policies and procedures to ensure operational and procedural compliance with state and federal regulations. Will work closely with legal departments and translate legal requirements/regulations and facilitate risk assessments to highlight compliance process vulnerabilities. Recommend and build new policies and p... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
The candidate will comply fully with company's Code of Conduct. Will comply fully with company's HIPAA Policies and Procedures. Ensure compliance with policies and procedures. Should have Paralegal Certification. Law Degree is Preferred. Must have knowledge of Internet software; Spreadsheet software and Word Processing software. Should have ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governme... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator The candidate will be responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices on an enterprise wide basis for company's Special Investigations Unit. Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Prepares statistical/financial analyses and reports to document findings and maintain... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Assistant - Medical Claim Negotiator Duties: Handle the financial settlement, via telephone, of medical claims/bills on behalf of our clients. When a claim enters the department, will be responsible for understanding the procedure; estimate the fair value of the procedure compared with Medicare pricing, location/facility/provider comparisons, and our proprietary evaluation software; identify negotiation points for that particular provider; evaluate the pr... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Associate General Counsel/Senior Supporting Medicare Business Duties: Responsible for providing leadership and strategic oversight for all aspects of the assigned legal area(s). Additionally, is responsible for providing in-depth knowledge of a legal specialty or area of law to provide advice and recommendations to executives and management on highly complex matters which have a broad organizational impact and high level of risk. Partners with clients to drive str... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Counsel or Legal Counsel Senior The candidate will be responsible for helping provide legal support on healthcare privacy and related data security issues. Will assist in providing advice and assistance to executives and management on corporate, legal and regulatory matters within the scope of the job. Should have a . degree from an ABA accredited law school. Current license to practice law is required. Must have 4-6 years of experience. Should have experience provi... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Vice President and General Counsel The candidate will be responsible for managing, guiding and providing legal services. Will serves as the chief legal advisor to the healthcare system senior leadership and Board of Directors and be responsible for a wide range of legal, regulatory, and compliance projects and will manage the legal resources in a manner that supports the overall priorities of the health system. Provide a proactive and collaborative approach to the leg... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
General Counsel Healthcare Privacy The candidate will be providing legal support on healthcare privacy and related data security issues. Should have: A JD Degree from an ABA accredited law school. Current license to practice law. 8-10 years’ experience in the area of healthcare privacy law. Excellent written and oral communication skills, including contract drafting and negotiation skills, and the ability to effectively build relationships with and advise busin... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
General Counsel - Healthcare Privacy The candidate should have a . degree from an ABA accredited law school. Current license to practice law is required. Must have 8-10 years of experience in the area of healthcare privacy law. Substantial background in state and federal privacy laws, including HIPAA Privacy and Security rules required. Certified Information Privacy Professional (CIPP) certification or other comparable privacy professional certification (or will... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here